Appendix 1

Pre-Arrival Notification of Security (PANS) for: a) Passenger ships including high speed passenger craft, b) argo ships, including high-speed craft, of !"" #$% and up&ards, and c) 'obile offshore drilling units(

1. Particulars of the ship and contact details

1.1 IMO Number: )1*+1,, 1.3 Port of registry: 0isa1hapatna2 1.6 Call sign:0%45

1.2 Name of the ship: - . -redge /0 1.5 Type of ship: %S3(-redger) 1.8 Gross Tonnage: 8"9"

1.4 Flag State: .ndia 1.7 Inmarsat call Numbers: Sat 6 7 ++1)+811"

1.9 Name of Company: - .:, 0isha1hapatna2, .ndia

1.10 Name and ! hour contact details of Company Security Officer: Name: apt( P' Saravanan""""##""# Tel no#: $%&'( %)'*+,- $&&!&&% , '%""""""""

2. Port and port facility infor2ation

2.1 Port of arri.al and port facility /here the ship is to berth- if 0no/n : Ne& 'angalore, .ndia 2.2 12pected date and time of arri.al of the ship in port 3paragraph 45!#*&#* of the ISPS Code: !#''# $$& 6M 2.3 Primary purpose of call: Cargo operation5 Ta0ing 4un0ers5 7ta0ing Supplies5 repair5 Changing Cre/5 Passengers 31mbar0ing5 8isembar0ing95 Others (-elete as appropriate) If others- pleases specify purpose: Port -redging operations""""""""""

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3. .nfor2ation re;uired by S<:AS regulation /.-,=)(,(1

3.1 The ship is pro.ided 3SO:6S ;1G<:6TION &# #'#'9 /ith a .alid: International Ship Security Certificate Interim International Ship Security Certificate 3.1.1 Certificate indicated in *#' has been issued by: Name of issuing authority: -# Shipping, #ovt( of .ndia""""""""""""" 8ate of e2piry: """""$'($*( $'$""""""""""""""""""### 3.1.2 If the ship is not pro.ided /ith a .alid International Ship Security Certificate or a .alid Interim International Ship Security Certificate- e2plain /hy> : =1S =1S NO NO

3.1.2.1 8oes the ship ha.e an appro.ed ship security plan on board> 3.2 Current security le.el 3SO:6S regulation ?I( 5&# #'# 9: %><

=1S

NO

3.2.1 :ocation of ship at the time the report is made 3paragraph 45!#*&# of the ISPS Code9: :atitude: """""""""""# :ongitude: """""""""" or Port: 'A$'5#A<"""" 3.3 :ist the last '$ calls in chronological order /ith the most recent call first- at port facilities at /hich the ship conducted ship5 port interface together /ith the security le.el at /hich the ship operated 3SO:6S regulation ?I( 5&# #'#*9: No ' * ! , + ) % & '$ 8ate From To Port- Country- Port Facility and <N:OCO81 Security le.el

07.10.2009 11.05.2009 30.04.2009 24.04.2009 18.03.2009 20.01.2009 15.01.2009 07.12.2008 03.12.2008 10.07.2008

05.10.2009 05.05.2009 30.04.2009 23.03.2009 18.03.2009 20.01.2009 15.01.2009 07.12.2008 03.12.2008

Marmugao Colombo Kolkata Haldia Kolkata Haldia Kolkata Haldia Kolkata Haldia

II I II II II II II II II II

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3.3.1 8id the ship- during the period specified in 3.3, ta0e any special or additional security measuresbeyond those specified in the appro.ed ship security plan> =1S NO

3.3.2 If your ans/er to 3.3.1. is =1S- for each of such occasions please indicate the special or additional security measures /hich /ere ta0en by the ship 3SO:6S regulation ?I( 5&# #'#!9: 8ate From To Special or additional measures

No ' * ! , + ) % & '$

Port- Country- Port Facility and <N:OCO81

3.4 :ist the ship to ship acti.ities in chronological order /ith the most recent ship( to( ship acti.ity first/hich ha.e been carried out during the period specified in 3.3:

No '

8ate From To

Port- Country- Port Facility and <N:OCO81

Ship(to(ship 6cti.ity

* ! , + ) % & '$ NOT 6PP:IC64:1

'+#$+#$& $!#$,#$& $'#$,#$& *$#$!#$& ,#$!#$& '$#$!#$& '#$*#$& '&#$*#$& '%#$*#$& !#$ #$&

'+#$+#$& $!#$,#$& $'#$,#$& *$#$!#$& ,#$!#$& '$#$!#$& '#$*#$& '&#$*#$& '%#$*#$& !#$ #$&

M V Kandy Colombo ! " #alad$i Kolkata "arg% no &855 Kolkata ! " #ald$i Kolkata M V 'art$i Kolkata M V 'art$i Kolkata ! " #ald$i Kolkata ! " #ald$i Kolkata ! " #ald$i Kolkata M V 'art$i Kolkata

@S8 F;1S@ A6T1; @8S F;1S@ A6T1; @S8 @S8 F;1S@ A6T1; F;1S@ A6T1; F;1S@ A6T1; @S8

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3.4.1 @a.e the ship security procedures- specified in the appro.ed ship security plan- been maintained during each of the ship(to(ship acti.ities specified in *#! 3SO:6S regulation ?I( 5&# #'#,9>

B=1S

NO

3.4.2 If the ans/er to 3.4.1. is NO- identify the ship to ship acti.ities for /hich the ship security procedures /ere not maintained and indicate- for each- the security measures /hich /ere applied in No ' * ! , + ) % & '$ lieu: 8ate From To Security measures applied Ship(to(ship acti.ity

3.5 Pro.ide a general description of cargo aboard the ship 3SO:6S regulation ?I( 5&# #'#+ and paragraph 45!#*&#, of the ISPS Code9:

N(A

3.5.1 Is the ship carrying any dangerous substances as cargo>

=1S

NO

3.5.2 If the ans/er to *#,#'# is =1S- pro.ide details or attach a copy of the 8angerous Goods Manifest 3IMO F6: FO;M )9 N(A

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3.6 6 copy of the shipCs Cre/ :ist 3IMO F6: Form , is attached9 3SO:6S regulation ?I( 5&# #'#+ and paragraph 45!#*&#! of the ISPS Code9

?es

3.7 6 copy of the shipCs Passenger :ist 3IMO F6: Form + is attached9 3SO:6S regulation ?I( 5&# #'#+ and paragraph 45!#*&#+ of the ISPS Code9

4. <ther security related infor2ation

4.1 Is there any security related matter you /ish to report> 4.1.1 If the ans/er to !#' is =1S- pro.ide details: N(A =1S NO

5. Agent of the ship at the intended port of arrival

5.1 Name and !(hour contact details of 6gent in intended port of call: """""""""" '=s @('( Aaxi B o """"""""""""""""""""""### Tel no: """"")1-&*!*,)$ %& ('ob)"# Fa2 No: """""""

6. .dentification of the person providing the infor2ation

6.1 Name: " apt( N' '.S3$A"""""""""""""""""""## 6.2 Title or position: ""'AS%C$""""""""""""""""## 6.3 Signature: """""""""""""""""""""""""""""""""""""""# This report is dated at 3Place9 ""'A$'5#A<"""""""""""""# On 38ate and time9 """""""""""""""""""""""""""""""""""""

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